Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shatoria Tyshon Thomas, LCMHCA, LCASA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1790299295

Shatoria Tyshon Thomas, LCMHCA, LCASA is an Addiction (Substance Use Disorder) Counselor in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2017
Specialties on file
3

Practice location Address checks out

429 Billingsley Rd
Charlotte, NC 28211-1007
Phone: (704) 445-6900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-22433 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence A13369 (NC)

Record details

NPI number1790299295
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHCA , LCASA
Sole proprietorYes
NPI enumeratedNovember 21, 2017
Last updated in NPPESMarch 20, 2020
Certification dateMarch 20, 2020

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